Individual
KRYSTLE MICHELLE EDIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6490 MONTE DR, PAINESVILLE, OH 44077-9187
(440) 221-3011
Mailing address
6490 MONTE DR, PAINESVILLE, OH 44077-9187
(440) 221-3011
(440) 221-3011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0900461
OH
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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